复合式和常规小梁切除术后浅前房的临床观察

目的观察复合式小梁切除术及常规小梁切除术术后浅前房的发生情况。方法青光眼120例142眼随机分为两组。复合式手术组（A组）60例74眼行复合式小梁切除术即增加可拆除的调节缝线及术中应用5-FU；对照组（B组）60例68眼行常规小梁切除术，观察两组术后前房形成和眼压情况并作统计学分析。结果术后浅前房发生率A组为6．76％（5眼），B组为35．29％（24眼）。二者差异具统计学意义（P〈0．05）。发生原因以滤过过强、脉络膜脱离为多见。结论复合式小梁切除术能迅速恢复和维持术后前房深度，有效减少术后浅前房发生，提高手术成功率。

A clinical observation on shallow anterior chamber after different trabeculectomy

Objective To observe the rate of occurrence of shallow anterior chamber after the compound trabeculectomy and routine trabeculectomy.MethodsThe 120 cases(142eyes) with glaucoma were divided into tow groups in random,60 cases(74 eyes) in study group(group A) underwent the compound trabeculectomy while 60 cases(68 eyes)(incontrol) group(group B) underwent routine trabeculectomy,the rate of occurrence of postoperative shallow anterior chamber and intraocular pressure between two groups were compared. ResultsPostoperative shallow anterior chamber:there were 5 eyes in groupA(6.8%) while 24 eyes in group B(32.43%),the statistic difference was significant(P<(0.05)). ConclusionThe compound trabeculectomy could effectively prevent the postoperative shallow anterior chamber and elevate the rates of surgical success.